| NPI | 1225572340 | 
|---|---|
| Doing Business As | AGING GRACEFULLY PHC | 
| Entity Type | Organization | 
| Authorized Contact | GULZAR MALIK Chief Executive Officer 210-365-4853  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home | 
| Enumeration Date | 2016-12-08 | 
| Last Update Date | 2016-12-08 |